Gerald E Carlson is a Specialist in Nampa, Idaho. Gerald E Carlson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gerald E Carlson is 1053339457. The last update date is 2007-07-08.
Gerald E Carlson's current location address is 1603 12th Ave Rd, Nampa, Idaho. You can contact this provider via phone number 2084672400 and fax number 2084676416. The mailing address for Gerald E Carlson is 1603 12th Ave Rd, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald E Carlson |
|---|---|
| Address | 1603 12th Ave Rd, Nampa, Idaho |
| Phone Number | 2084672400 |
| Fax Number | 2084676416 |
| Sole Proprietor | Y |
| Credentials | D.O |
NPI Number Detail
| NPI Number | 1053339457 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1603 12th Ave Rd |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836867712 |
| Phone Number | 2084672400 |
| Fax Number | 2084676416 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 0-19 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the Gerald E Carlson's unique identification number?
The Gerald E Carlson has been assigned the NPI (National Provider Identifier) Number 1053339457 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Gerald E Carlson is physically located?
The Gerald E Carlson is physically situated at the following address: 1603 12Th Ave Rd, Nampa, ID, 836867712.
What is Gerald E Carlson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gerald E Carlson is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053339457 to Gerald E Carlson?
The Gerald E Carlson received its 1053339457 assignment from the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the information regarding Gerald E Carlson most recently updated?
The details pertaining to the Gerald E Carlson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.